Increased patient satisfaction by integration of palliative care into geriatrics-A prospective cohort study
(2023) In PLoS ONE 18(6). p.1-15- Abstract
BACKGROUND: Integration of oncology and palliative care has been shown to increase quality of life in advanced disease. To meet the needs of the growing older population, integration of palliative care and geriatrics has been proposed but scarcely described.
OBJECTIVES: The aim of this study was to integrate palliative care into geriatrics by a structured care guide, the Swedish Palliative Care Guide, and to evaluate its effect on patient satisfaction, health-related quality of life and symptom burden, compared to a control group.
METHODS: Geriatric in-patients over 65 years of age were included in the study, those with cognitive impairment were excluded. Data was collected before (baseline) and after the implementation... (More)
BACKGROUND: Integration of oncology and palliative care has been shown to increase quality of life in advanced disease. To meet the needs of the growing older population, integration of palliative care and geriatrics has been proposed but scarcely described.
OBJECTIVES: The aim of this study was to integrate palliative care into geriatrics by a structured care guide, the Swedish Palliative Care Guide, and to evaluate its effect on patient satisfaction, health-related quality of life and symptom burden, compared to a control group.
METHODS: Geriatric in-patients over 65 years of age were included in the study, those with cognitive impairment were excluded. Data was collected before (baseline) and after the implementation (intervention) of the Swedish Palliative Care Guide. Patient satisfaction was evaluated two weeks after discharge with questions from a national patient survey. Health-related quality of life was measured with EQ-5D-3L and symptom burden with Edmonton Symptom Assessment Scale.
RESULTS: In total, 400 patients were included, 200 in the baseline- and intervention group, respectively. Mean age was 83 years in both groups. Patient satisfaction was significantly higher in nine out of ten questions (p = 0.02-<0.001) in the intervention group compared to baseline. No differences between the groups were seen in health-related quality of life or symptom burden.
CONCLUSION: A significant effect on patient satisfaction was seen after implementation of the Swedish Palliative Care Guide in geriatric care. Thus, integration of palliative care and geriatrics could be of substantial benefit in the growing population of older adults with multimorbidity and frailty.
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- author
- Schelin, Maria E C LU ; Fürst, Carl Johan LU ; Rasmussen, Birgit H LU and Hedman, Christel LU
- organization
- publishing date
- 2023
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Humans, Aged, Aged, 80 and over, Palliative Care, Patient Satisfaction, Quality of Life, Prospective Studies, Geriatrics, Neoplasms/therapy
- in
- PLoS ONE
- volume
- 18
- issue
- 6
- article number
- e0287550
- pages
- 1 - 15
- publisher
- Public Library of Science (PLoS)
- external identifiers
-
- scopus:85162808735
- pmid:37347730
- ISSN
- 1932-6203
- DOI
- 10.1371/journal.pone.0287550
- language
- English
- LU publication?
- yes
- additional info
- Copyright: © 2023 Schelin et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
- id
- fe7d286f-7dea-47df-811d-f90a23367026
- date added to LUP
- 2023-08-28 09:04:26
- date last changed
- 2024-04-20 02:01:53
@article{fe7d286f-7dea-47df-811d-f90a23367026,
abstract = {{<p>BACKGROUND: Integration of oncology and palliative care has been shown to increase quality of life in advanced disease. To meet the needs of the growing older population, integration of palliative care and geriatrics has been proposed but scarcely described.</p><p>OBJECTIVES: The aim of this study was to integrate palliative care into geriatrics by a structured care guide, the Swedish Palliative Care Guide, and to evaluate its effect on patient satisfaction, health-related quality of life and symptom burden, compared to a control group.</p><p>METHODS: Geriatric in-patients over 65 years of age were included in the study, those with cognitive impairment were excluded. Data was collected before (baseline) and after the implementation (intervention) of the Swedish Palliative Care Guide. Patient satisfaction was evaluated two weeks after discharge with questions from a national patient survey. Health-related quality of life was measured with EQ-5D-3L and symptom burden with Edmonton Symptom Assessment Scale.</p><p>RESULTS: In total, 400 patients were included, 200 in the baseline- and intervention group, respectively. Mean age was 83 years in both groups. Patient satisfaction was significantly higher in nine out of ten questions (p = 0.02-<0.001) in the intervention group compared to baseline. No differences between the groups were seen in health-related quality of life or symptom burden.</p><p>CONCLUSION: A significant effect on patient satisfaction was seen after implementation of the Swedish Palliative Care Guide in geriatric care. Thus, integration of palliative care and geriatrics could be of substantial benefit in the growing population of older adults with multimorbidity and frailty.</p>}},
author = {{Schelin, Maria E C and Fürst, Carl Johan and Rasmussen, Birgit H and Hedman, Christel}},
issn = {{1932-6203}},
keywords = {{Humans; Aged; Aged, 80 and over; Palliative Care; Patient Satisfaction; Quality of Life; Prospective Studies; Geriatrics; Neoplasms/therapy}},
language = {{eng}},
number = {{6}},
pages = {{1--15}},
publisher = {{Public Library of Science (PLoS)}},
series = {{PLoS ONE}},
title = {{Increased patient satisfaction by integration of palliative care into geriatrics-A prospective cohort study}},
url = {{http://dx.doi.org/10.1371/journal.pone.0287550}},
doi = {{10.1371/journal.pone.0287550}},
volume = {{18}},
year = {{2023}},
}